Topical Negative Pressure Therapy Recent Experience of the Department of Plastic Surgery at Ibn Sina University Hospital, Rabat, Morocco
PDF

Keywords

Loss of substance
Negative pressure
Budding
Healing

Categories

How to Cite

1.
Echchaoui A, Benyachou M, Hafidi J, Elaissaoui I, Zaouri H, Elmazouz S, Gharib N, Abbassi A. Topical Negative Pressure Therapy Recent Experience of the Department of Plastic Surgery at Ibn Sina University Hospital, Rabat, Morocco. Integr J Med Sci [Internet]. 2014 Dec. 21 [cited 2024 Mar. 19];1:38-43. Available from: https://www.mbmj.org/index.php/ijms/article/view/11

Abstract

Introduction: Topical negative pressure therapy (TNP) is a non-invasive method to treat chronic and acute wounds locally, using continuous or intermittent negative pressure. The objective of this study is to present the first experience of this type of treatment used in clinical cases in our department. By presenting these cases, we highlight the indication and efficiency of this new technique applied in relatively complicated situations, at the same time it also allows a significant improvement in treating injuries and chronic wounds.
Materials and methods: In this study, we present the recent experience of the Department of Reconstructive and Plastic Surgery of the University Hospital Center of Avicenne in Rabat. This therapy was used for the first time this year (in 2014), in three young patients who presented with chronic wounds associated with local and general factors that are unfavorable for the healing process.
Results: In all three of our cases we obtained highly satisfactory clinical results. TNP allows wounds to bud in a shorter time, as well as fast healing by the second intention due to controlled wound healing or split-skin graft without using flaps. This enables to decrease the margin of error, the time and the number of dressing replacements, and to reduce the length of hospital stay.
Conclusion: This is an expensive and specific equipment. However, the cost-benefit ratio analysis shows that it is an essential method that should be part of our therapeutic strategies.

https://doi.org/10.15342/ijms.v1i2.42
PDF

References

Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg. 1997 Jun; 38(6):553-62. https://doi.org/10.1097/00000637-199706000-00001

Glicenstein J. [Jules Guerin (1801-1885) and wound pneumatic occlusion, a precursor of V.A.C. ((R))]. Ann Chir Plast Esthet. 2008 Aug ;53(4):378-82. https://doi.org/10.1016/j.anplas.2007.12.002

Danino A, Weber I. [Negative pressure wound therapy: pleading for an agreement]. J Chir (Paris). Sep-Oct 2007; 144(5):464-6. https://doi.org/10.1016/s0021-7697(07)74021-8

Chariker ME, Jeter KF, Tintle TE, Bottsford J. Effective management of incisional and cutaneous fistulae with closedsuction wound drainage. Contemporary Surg. 1989; 34(1):59-63. [Accessed 28th May 2021]. Available From: https://www.smithnephew.com/global/assets/pdf/products/wound/es/tpn_articulo1.pdf

Miller MS, Lowery CA. Negative pressure wound therapy: "a rose by any other name". Ostomy wound manage. 2005 Mar; 51(3):44-6, 48-9.

Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann plast surg. 1997 Jun; 38(6):563-76; discussion 577. [Accessed 28th May 2021]. Available From: https://journals.lww.com/annalsplasticsurgery/Abstract/1997/06000/Vacuum_Assisted_Closure__A_New_Method_for_Wound.2.aspx

Webb LX. New techniques in wound management: vacuum-assisted wound closure. J Ame Acad Orthop Surg. Sep-Oct 2002; 10(5):303-11. https://doi.org/10.5435/00124635-200209000-00002

Wang W, Pan Z, Hu X, Li Z, Zhao Y, Yu AX. Vacuum assisted closure increases ICAM-1, MIF, VEGF and collagen I expression in wound therapy. Exp Ther Med. 2014 May; 7 (5):1221-1226. https://doi.org/10.3892/etm.2014.1567

Voinchet V, Magalon G. [Vacuum assisted closure. Wound healing by negative pressure]. Ann Chir Plast Esthet. 1996 Oct;41(5):583-9.

Poupon M, Bouffault A, Bellier F, Baraer F, Floch N, Duteille F, et al. Greffe plus VAC®: Une cicatrisation assurée? Brûlures. 2005;6(3):149-52. [Accessed 28th May 2021]. Available From: http://www.medbc.com/meditline/review/brulures/vol_6/num_3/text/vol6n3p149.asp

Weinfeld AB, Kelley P, Yuksel E, Tiwari P, Hsu P, Choo J, et al. Circumferential negative-pressure dressing (VAC) to bolster skin grafts in the reconstruction of the penile shaft and scrotum. Ann Plast Surg. 2005 Feb; 54(2):178-83. https://doi.org/10.1097/01.sap.0000143606.39693.3f

Molnar JA, DeFranzo AJ, Hadaegh A, Morykwas MJ, Shen P, Argenta LC. Acceleration of Integra incorporation in complex tissue defects with subatmospheric pressure. Plast Reconstr Surg. 2004 Apr 15; 113(5):1339-46. https://doi.org/10.1097/01.prs.0000112746.67050.68

Huang C, Leavitt T, Bayer LR, Orgill DP. Effect of negative pressure wound therapy on wound healing. Curr Probl Surg. 2014 Jul; 51(7):301-31. https://doi.org/10.1067/j.cpsurg.2014.04.001

DeFranzo AJ, Argenta LC, Marks MW, Molnar JA, David LR, Webb LX, et al. The use of vacuum-assisted closure therapy for the treatment of lower-extremity wounds with exposed bone. Plast Reconstr Surg. 2001 Oct; 108(5):1184-91. https://doi.org/10.1097/00006534-200110000-00013

Moues CM, Vos MC, van den Bemd GJ, Stijnen T, Hovius SE. Bacterial load in relation to vacuum-assisted closure wound therapy: a prospective randomized trial. Wound Repair Regen. Jan-Feb 2004; 12(1):11-7. https://doi.org/10.1111/j.1067-1927.2004.12105.x

Attinger CE, Janis JE, Steinberg J, Schwartz J, Al-Attar A, Couch K. Clinical approach to wounds: debridement and wound bed preparation including the use of dressings and wound-healing adjuvants. Plast Reconstr Surg. 2006 Jun; 117(7 Suppl):72S-109S. https://doi.org/10.1097/01.prs.0000225470.42514.8f

Braakenburg A, Obdeijn MC, Feitz R, van Rooij IA, van Griethuysen AJ, Klinkenbijl JH. The clinical efficacy and cost effectiveness of the vacuum-assisted closure technique in the management of acute and chronic wounds: a randomized controlled trial. Plast Reconstr Surg. 2006 Aug; 118(2):390-7; discussion 398-400. https://doi.org/10.1097/01.prs.0000227675.63744.af

Moues CM, van den Bemd GJ, Meerding WJ, Hovius SE. An economic evaluation of the use of TNP on fullthickness wounds. J Wound Care. 2005 May; 14(5):224-7. https://doi.org/10.12968/jowc.2005.14.5.26776

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2014 Abdelmoughit Echchaoui et al.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...